| Prairie Meadows Dental, Pc | |
|
1055 West 56th Street Kearney NE 68845 | |
| (308) 708-7970 | |
| (308) 708-7975 |
| Full Name | Prairie Meadows Dental, Pc |
|---|---|
| Speciality | Clinic/center - Dental |
| Location | 1055 West 56th Street, Kearney, Nebraska |
| Authorized Official Name and Position | Aaron Jeffrey Madsen (CLINIC ADMINISTRATOR) |
| Authorized Official Contact | 3087087970 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prairie Meadows Dental, Pc 1055 West 56th Street Po Box 3227 Kearney NE 68848 Ph: (308) 708-7970 | Prairie Meadows Dental, Pc 1055 West 56th Street Kearney NE 68845 Ph: (308) 708-7970 |
| NPI Number | 1407465966 |
|---|---|
| Provider Enumeration Date | 07/30/2020 |
| Last Update Date | 01/24/2022 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407465966 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | (* (Not Available)) | Primary |
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